<%= f.error_messages %> 
<div id="content"> 

	<div id="top_buttons">
   
    </div><!--/top_buttons-->

	<div id="mainreports">
		<% form_for(@report_request) do |f| %> 
		<div class="item_report"><%= _('Title') %> <br /><input type="text" class="textfield" name="Title" /></div>
		<div class="item_report"><%= _('Description') %> <br /><textarea rows="3" cols="5" class="textreport"></textarea></div>

		<div class="item_report"><%= _('Report Period') %> <br />
                                            <select name="Period" id="Period">
                                              <option selected="selected" value=""><%= _('Please select Period') %> </option>
                                              <option value="H1">January-June</option>
                                              <option value="H2">July-December</option>
                                            </select>
                                   &nbsp;&nbsp; <%= _('Year') %>   
                                           <select name="Year" id="Year">

                                              <option selected="selected" value=""><%= _('Please select Year') %></option>
                                              <option value="2009">2009</option>
                                              <option value="2010">2010</option>
                                              <option value="2011">2011</option>
                                              <option value="2012">2012</option>
                                              <option value="2013">2013</option>

                                            </select>
         </div>
		<div class="clear"></div>
         <div class="item_report"><%= _('Due Date') %> <br />
         
                                        <select name="DueDate" id="DueDate">
                                              <option selected="selected" value=""><%= _('Please select Month') %></option>
                                              <option value="January"><%=_('January')%></option>

                                              <option value="February"><%=_('February')%></option>
                                              <option value="March"><%=_('March')%></option>
                                              <option value="April"><%=_('April')%></option>
                                              <option value="May"><%=_('May')%></option>
                                              <option value="June"><%=_('June')%></option>
                                              <option value="July"><%=_('July')%></option>

                                              <option value="August"><%=_('August')%></option>
                                              <option value="September"><%=_('September')%></option>
                                              <option value="October"><%=_('October')%></option>
                                              <option value="November"><%=_('November')%></option>
                                              <option value="December"><%=_('December')%></option>
                                            </select>

                                    &nbsp;&nbsp; <%= _('Year') %>   
                                           <select name="Year" id="Year">
                                              <option selected="selected" value=""><%= _('Please select Year') %></option>
                                              <option value="2009"><%=_('2009')%></option>
                                              <option value="2010"><%=_('2010')%></option>
                                              <option value="2011"><%=_('2011')%></option>

                                              <option value="2012"><%=_('2012')%></option>
                                              <option value="2013"><%=_('2013')%></option>
                                            </select>



         </div>
		<div class="clear"></div>

	 <div class="item_report"><%= _('Send Message') %> <span class="note"><%= _('(Leave blank and no message will be sent)') %></span><br /><textarea rows="3" cols="5" class="textreport" ><%= _('Please fill in the report this month! Just click on the link included in this email. We present the results in Kumming. Thank you very much! Snow, Coordinator, MBDS Office') %></textarea>

	</div>
	<div class="item_report"><span><a href="#"><img alt="Save" src="/images/b_save_send.gif"/></a></span> <span><a href="ad_pending_reports.htm"><img alt="Cancel" src="/images/b_cancel_back.gif" /></a></span></div>
         
    </div><!--/maintable-->

    </div>


</div><!--/content-->


